I think that you are confusing 2 separate procedures:
- panniculectomy
- abdominoplasty
A panniculectomy is a functional procedure for removing excess skin and fat. An insurance company MAY authorize a panniculectomy if...
- The apron of excess abdominal skin impedes walking.
- The apron of excess abdominal skin impedes normal groin hygiene.
- There are recalcitrant fungal infections beneath the skin folds.
- The infections have progressed to bacterial infections, necessitating hospitalization and IV antibiotics.
A panniculectomy is NOT an attractive operation. The goal is function, not cosmesis.
- There is no tailoring of the skin excess.
- There is no liposuction to contour the flanks.
- The bellybutton is not preserved.
- The muscles are not tightened.
- The abdomen is not optimally flattened.
If your goals are functional, then you should consider a panniculectomy. Find a Board Certified Plastic Surgeon who accepts your insurance, and then speak with him/her frankly.
If, however, your goals are too have a more attractive torso, then you are looking for an abdominoplasty, better known as a tummy tuck. Obviously, no insurance company is going to pay for you to look cuter; that's your financial responsibility.


